Organization
MAXX HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS GONZALEZ JR. M.D. (MEDICAL DIRECTOR)
(561) 613-4500
Entity
Organization
Contact information
Practice address
2500 N MILITARY TRL, SUITE #310, BOCA RATON, FL 33431-6344
(561) 613-4500
(561) 613-4501
Mailing address
2500 N MILITARY TRL, SUITE #310, BOCA RATON, FL 33431-6344
(561) 613-4500
(561) 613-4501
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME87200
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FW316A
MEDICARE PTAN
FL
Enumeration date
07/05/2011
Last updated
05/14/2012
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